go back

Missouri rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $83.18 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $117.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $79.43 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $83.18 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $85.11 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $74.13 / $83.18